Nurse Case Manager

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Current job opportunities are posted here as they become available.

The role of the Nurse Case Manager is responsible for leading and managing the care teams within their assigned region. The position will be responsible for staff productivity, ensuring the provision of quality care services and the reduction of unnecessary healthcare costs. The Nurse Case Manager will support a culture of compliance with all applicable federal and state regulations. This position works closely and collaboratively with the members of the care group and with regional leadership.

A successful Nurse Case Manager will be able to perform these essential duties and responsibilities. Reasonable accommodations may be made, in accordance with applicable law, to enable individuals with disabilities to perform the essential functions.

The following is a list of essential functions, which may be subject to change at any time and without notice. Management may assign new duties, reassign existing duties, and/or eliminate function(s).

• 謬eam Leadership:
  Lead and manage a care team consisting of healthcare professionals, including but not limited to nurses, social workers, therapists, and health coaches.
• 姫atient Care:
  Actively engage with patients to help them understand the Company痴 care model, their diseases, and disease management strategies.
• 姫roductivity Management:
  Monitor and enhance the productivity of your care team to ensure that all necessary assessments and patient visits are conducted efficiently.
• 稗illing Optimization:
  Collaborate with your team to optimize primary care billing, aiming for it to constitute 15% of the total allotment for your group of patients. This optimization should contribute to a reduction in unnecessary medical spending.
• 百ervice Recovery:
  Collaboration for conflict, complaint management and resolution for any concerns.
• 匹onsistent program review with leadership to ensure right care at right time delivery of services & support to patients, families, facilities, and other healthcare partners.
• 百cheduling Management and Oversight:
  Responsible for managing and overseeing the scheduling process completed by case managers to ensure providers and other disciplines have a well‑structured and effective schedule.
• 姫romote effective two-way communication between employees supervised, administration and team members within the region.
• 謬raining and Supervision:
  Provide training and guidance to staff, ensuring they understand their job responsibilities, goals, protocols, customer service standards, and proper use of company痴 software systems.
• 姫articipate in interviews and hiring staff when necessary.
• 柊dministrative Functions:
  Perform general administrative tasks and support other staff as needed.
• 畢everage technology platforms to enhance patient care and staff productivity.
• 姫articipate in coaching calls.
• 姫erform other duties as requested or required, in the sole discretion of the Company.

謬ake responsibility for own work in completing tasks. Assist others so that the resources, assistance, or support is provided to achieve success in their daily work.
匹ommunicate, endorse, and demonstrate the Company痴 mission, vision, and values.
姫rompt and regular attendance.
柊dhere to standards of behavior, dress code including name tag and approved uniform, personnel department, and company policies.
柊ttend in-services and meetings on a regular basis.
姫romote a culture of outstanding customer service and strive to enhance patient experience at all times.
筆ust be available during normal work hours (unless previously approved by direct supervisor). Additional hours may be required to complete normal business functions and/or projects.
筆ust possess the ability to deal tactfully with patients, employees, management, visitors, government agencies, and the general public and maintain an open-door policy for all employees.
筆ust possess the ability to make independent decisions when circumstances warrant.